Claudin Loss-of-Function Disrupts Tight Junctions and Impairs Amelogenesis

Claudins are a family of proteins that forms paracellular barriers and pores determining tight junctions (TJ) permeability. Claudin-16 and -19 are pore forming TJ proteins allowing calcium and magnesium reabsorption in the thick ascending limb of Henle's loop (TAL). Loss-of-function mutations in the encoding genes, initially identified to cause Familial Hypomagnesemia with Hypercalciuria and Nephrocalcinosis (FHHNC), were recently shown to be also involved in Amelogenesis Imperfecta (AI). In addition, both claudins were expressed in the murine tooth germ and Claudin-16 knockout (KO) mice displayed abnormal enamel formation. Claudin-3, an ubiquitous claudin expressed in epithelia including kidney, acts as a barrier-forming tight junction protein. We determined that, similarly to claudin-16 and claudin-19, claudin-3 was expressed in the tooth germ, more precisely in the TJ located at the apical end of secretory ameloblasts. The observation of Claudin-3 KO teeth revealed enamel defects associated to impaired TJ structure at the secretory ends of ameloblasts and accumulation of matrix proteins in the forming enamel. Thus, claudin-3 protein loss-of-function disturbs amelogenesis similarly to claudin-16 loss-of-function, highlighting the importance of claudin proteins for the TJ structure. These findings unravel that loss-of-function of either pore or barrier-forming TJ proteins leads to enamel defects. Hence, the major structural function of claudin proteins appears essential for amelogenesis.

Claudins are a family of proteins that forms paracellular barriers and pores determining tight junctions (TJ) permeability. Claudin-16 and -19 are pore forming TJ proteins allowing calcium and magnesium reabsorption in the thick ascending limb of Henle's loop (TAL). Loss-of-function mutations in the encoding genes, initially identified to cause Familial Hypomagnesemia with Hypercalciuria and Nephrocalcinosis (FHHNC), were recently shown to be also involved in Amelogenesis Imperfecta (AI). In addition, both claudins were expressed in the murine tooth germ and Claudin-16 knockout (KO) mice displayed abnormal enamel formation. Claudin-3, an ubiquitous claudin expressed in epithelia including kidney, acts as a barrier-forming tight junction protein. We determined that, similarly to claudin-16 and claudin-19, claudin-3 was expressed in the tooth germ, more precisely in the TJ located at the apical end of secretory ameloblasts. The observation of Claudin-3 KO teeth revealed enamel defects associated to impaired TJ structure at the secretory ends of ameloblasts and accumulation of matrix proteins in the forming enamel. Thus, claudin-3 protein loss-of-function disturbs amelogenesis similarly to claudin-16 loss-of-function, highlighting the importance of claudin proteins for the TJ structure. These findings unravel that loss-of-function of either pore or barrier-forming TJ proteins leads to enamel defects. Hence, the major structural function of claudin proteins appears essential for amelogenesis.
Keywords: Amelogenesis Imperfecta, enamel, barrier-forming tight junction protein, pore-forming tight junction protein, claudins Epithelial cells are attached to each other at their lateral membranes by a complex of intercellular junctions (Farquhar and Palade, 1963). The most apical complex of the intercellular junctions is the zona occludens also named tight junctions (TJ). TJ represent the principal component of the paracellular diffusion barrier by determining epithelial permeability of small molecules and water, and participate in the control of the diffusion of membrane components between the basolateral and apical regions. Abrogation of such a barrier function in epithelia that interfaces with the environment is associated with a variety of gastrointestinal (Barmeyer et al., 2017), renal (Hou, 2014), and cutaneous disorders (Basler and Brandner, 2017). TJ are composed of several FIGURE 1 | Dental phenotype of Claudin-3 KO mice. (A) Claudin-3 mRNA expression was analyzed in mouse tissues by RT-PCR using forward primer 5 ′ -ATG TGG CGC GTT TCG-3 ′ and reverse primer 5 ′ -GCG AGT CGT ACA TTT TGC-3 ′ for Claudin-3 (124 bp), and forward primer 5 ′ -TGT GTC CGT CGT GGA TCT GA-3 ′ and reverse primer 5 ′ -TTG CTG TTG AAG TCG CAG GAG-3 ′ for Gapdh (150 bp). A representative gel image of the selected tissues showed Claudin-3 expression in (Continued) FIGURE 1 | Continued mouse in post-natal day 3 tooth germ, liver and heart. Identification of claudin-3 in the continuously growing incisor was performed by immunofluorescence using claudin-3 antibody (#34-1700, Invitrogen) at 1/100 dilution and a Goat anti-Rabbit antibody (#R-6394, Invitrogen). Claudin-3 was localized at the distal end of secretory ameloblasts (am). Protein expression was also observed at the basal end of the cells (n = 3 per group). (p) pulp. (B) Recapitulative schema of claudin TJ proteins expression at the apical end of secretory ameloblasts. Claudin-3, -16, and -19 were shown to be expressed at TJ level of ameloblast secretory ends during enamel formation in the mouse. (C) 3D volume rendering from Micro-CT data showed severe enamel loss on lingual molar cusps in Claudin-3 KO mice. Quantitative analysis confirmed a significant lower enamel volume in Claudin-3 KO mice when compared to WT (0.022 vs. 0.120 mm 3 respectively) (n = 8 per group). In WT mice, incisor mineralization is observed under the third molar (M3) whereas in Claudin-3 KO mice it is detected under the second molar (M2). ** P < 0.00001 (M1) first molar.
(D) Scanning electron microscopy (SEM) analysis showed enamel prisms normally constituted in Claudin-3 KO incisor when compared to WT (n = 3 per group). Transmission electron microscopy (TEM) analysis of WT tooth germs showed TJ as adjoining ameloblast membranes converging to form a thin intermediate line at the distal end of the cells. In contrast, the TJ structure was altered in Claudin-3 KO tooth germs, with thicker and packed structures (red arrows). (am) ameloblast. (E) Enamel matrix protein expression by secretory ameloblasts of Claudin-3 KO mice (n = 3 per group). Western blot analysis of the protein extracts of the soft part of the growing incisor showed slightly higher levels of amelogenin (amel). No difference was observed by immunostaining regarding amelogenin expression in the forming enamel matrix (e) between Claudin-3 KO and WT incisors.
transmembrane and membrane-associated proteins including the claudin proteins. Claudins form either paracellular barrier or pores that determine TJ properties. They interact with each other and with additional membrane and non-membrane proteins, such as the intracellular zonula occludens ZO-1 and ZO-2 and other PDZ domain-containing proteins. Claudins are considered as core components of TJ strands and determine epithelial permeability of small molecules and water (Gunzel and Yu, 2013). Only few claudins are unequivocally qualified as pore-forming proteins, including claudin-2, -10b, and -15 as cation pores and claudin-10a and -17 as anion pores. Other claudins have been reported to form pores only when specifically interacting with another claudin (Gunzel and Yu, 2013). Such is the case of claudin-16 and claudin-19, which form a cationselective TJ complex in the thick ascending limb of Henle's loop (Hou et al., 2008). Mineral transport involves the epithelial permeability which is tightly related to the type and properties of TJ. During amelogenesis, secretory ameloblast TJ are responsible for restricted paracellular access to the enamel compartment. The paracellular permeability (tightness) of the ameloblast layer depends on the composition of TJ relying on claudin proteins. Hence, a combination of different claudins may either allow some paracellular ion passage or restrict this passage (Denker and Sabath, 2011;Bronckers, 2017). To date, 11 claudins have been identified in the tooth germ at various developmental stages (Ohazama and Sharpe, 2007;Bardet et al., 2016;Yamaguti et al., 2017). We recently associated the abrogation of a pore function and a dental disorder. Indeed, we demonstrated that loss-offunction mutations in Claudin-16 and -19 (CLDN16 and 19) genes, initially identified to cause Familial Hypomagnesemia with Hypercalciuria and Nephrocalcinosis (FHHNC), also resulted in Amelogenesis Imperfecta (AI) (Bardet et al., 2016;Yamaguti et al., 2017). At the time of this discovery, it was acknowledged that claudin-16 and -19 were mainly expressed in the thick ascending limb of Henle loop in the kidney, suggesting that the AI diagnosed in patients with FHHNC was a consequence of the disturbed mineral homeostasis. However, we were able to show that claudin-16 and claudin-19 were also expressed in the ameloblast TJ, indicating that the AI diagnosed in patients with FHHNC was an intrinsic consequence of the Claudin mutation. Furthermore, studying Claudin-16 Knockout (KO) mice, we showed that the structure of ameloblast TJ was altered.
Claudin-3, which is expressed in epithelia of a wide variety of organs such as intestine, kidney, liver, skin, and lung, acts as a barrier-forming TJ protein (Milatz et al., 2010;Gunzel and Yu, 2013). To analyze the substantial role of a barrierforming TJ protein in amelogenesis, we explored the dental phenotype of Claudin-3 KO mice using the methods previously described in Bardet et al. (2016) (ethical agreement D92-049-01). We first determined that, similar to claudin-16 and claudin-19 (Bardet et al., 2016;Yamaguti et al., 2017), claudin-3 was expressed in the tooth germ and located in the TJ at the apical end of secretory ameloblasts (Figures 1A,B). Dental examination of adult Claudin-3 KO mice revealed a lower enamel volume in molars when compared to WT mice and a mineralization delay in the continuously growing incisor (Figure 1C). At the structural level, when examining the forming enamel in the intrabony part of the incisor, we observed normally formed prisms by scanning electron microscopy in Claudin-3 KO mice ( Figure 1D). However, transmission electron microscopy (TEM) analysis of tooth germs showed altered TJ structure in Claudin-3 KO ameloblasts displaying thicker and packed structures compared to the thin intermediate line observed in the WT mice (Figure 1D). At the molecular level, enamel matrix formation was disturbed by claudin-3 deficiency, manifesting by an accumulation of enamel proteins further confirmed by Western blot analysis of the protein extracts of the soft part of the growing incisor ( Figure 1E). Thus, claudin-3 protein lossof-function disturbs amelogenesis similar to claudin-16 loss-offunction, where accumulation of enamel matrix protein led to Amelogenesis Imperfecta (Bardet et al., 2016).
During amelogenesis, TJ are composed of pore-and barrierforming claudin proteins. Deficiency of both types of claudin proteins in murine models as well as in human disorders such as FHHNC led to enamel defects. To date, no human disease was associated with CLDN3 mutation. Interestingly, the hemizygous contiguous gene microdeletion at 7q11.23 in Williams-Beuren syndrome (WBS; OMIM 194050) includes the CLDN3 gene (Dutra et al., 2011) and several dental manifestations have been reported in patients with WBS, including hypodontia, abnormal tooth shape (microdontia), but also hypoplastic enamel defects and higher caries susceptibility (Hertzberg et al., 1994;Axelsson et al., 2003).
Our observations highlight the importance of claudin proteins for TJ structure. Indeed, either barrier or a pore forming claudins link to adaptor proteins such as ZO proteins and other PDZ protein family of the cytosolic TJ plaque. This interaction allows direct or indirect bonding to actin, anchoring the TJ within the underlying cytoskeleton. This scaffold facilitates the assembly of highly ordered structures, such as junctional complexes, regulating epithelial cell polarity, proliferation and differentiation (Sluysmans et al., 2017). This is consistent with our data showing a disturbed actin filament network at apical end of ameloblasts and a more diffused ZO-1 labeling in Claudin-16 KO mice (Bardet et al., 2016). Claudins are necessary for the TJ assembly process and their loss impairs TJ organization in ameloblasts and consequently disturbs enamel formation.
Overall, although TJ insure suitable microenvironments for enamel deposition and concomitant early maturation by determining the paracellular permeability and selectivity of solutes, the ion transport is tightly regulated during amelogenesis, involving barrier or channel properties of a certain claudin. Impaired TJ structure resulting from claudin loss-of function disturbs enamel formation. Hence, the major structural function of claudin proteins appears essential for amelogenesis.

AUTHOR CONTRIBUTIONS
CB and CC wrote the manuscript with contributions from all authors. CB, SR, YW, and CC contributed to the design of the experiments. CB, SR, YW, MD, BS, TB, PH, DM, and CC performed and analyzed experiments. CB and CC supervised the project. All authors reviewed and approved the final version of the manuscript.

FUNDING
This work was supported by grants from Paris Descartes University, from Foundation pour la Recherche Médicale for EA2496 and Plateforme d'Imagerie du Vivant Paris Descartes (FRM DGE20111123012). DM was supported by a CRG grant of the Berlin Institute of Health. YW (post-doctoral position) was supported by the French Chinese Foundation for Science and Applications (FFSCA), Académie des Sciences, and the China Scholars Council (CSC).